Individual
BENJAMIN BODNAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D80379
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010051783CT01
ANTHEM BCBS CT
CT
01
—
1186694
USA
CT
05
—
1750525549
—
CT
01
—
5680912
AETNA
CT
01
—
848225
WELLCARE
CT
01
—
PENDING
RAILROAD MEDICARE
CT
Enumeration date
04/24/2009
Last updated
04/04/2023
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